Xu Shao Huang
ExpiredCalifornia license 12913
License
- Licensed by
- California State Board of Optometry
- License number
- 12913
- Status
- Expired (Delinquent)
- First issued
- January 18, 2019
- Expired
- February 28, 2025
- License holder
- Xu Shao Huang
- Entity type
- Individual
Classifications
- Statement of Licensure Vision & Hearing
More from the license record
- License type code
- 4203
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Contact
79710 Highway 111
Ste. 101
La Quinta, CA 92253
Ste. 101
La Quinta, CA 92253